康复早期介入对髋部骨折老年患者肺部感染的影响分析
发布时间：2018-09-06 14:09
【摘要】：目的探讨康复早期介入对老年髋部骨折肺部感染的影响。方法选择2012年6月-2016年6月就诊的髋部骨折患者864例,随机分为研究组和对照组,各432例,两组均给予基础治疗,对照组给予常规骨科康复训练,研究组采用康复早期介入,观察患者术后2周并发症发生情况,对肺部感染患者的痰、尿、血等进行细菌培养和鉴定,对术后2周、1个月、3个月、6个月患者的髋关节功能及活动能力进行评定,对两组患者的骨愈合程度进行判定。结果研究组肺部感染12例,感染率2.78%,显著低于对照组37例感染率8.56%(P0.05),研究组患者治疗后2周、1个月、3个月、6个月髋关节功能评分分别为(54.23±6.54)分、(67.33±5.41)分、(81.04±5.65)分、(92.21±5.48)分,均高于对照组(40.84±5.44)分、(45.83±4.95)分、(60.40±6.40)分、(73.83±6.95)分,差异有统计学意义(P0.05);共检测出104株病原菌,其中革兰阴性菌59株占56.73%,革兰阳性菌39株占37.50%,真菌6株占5.77%;治疗前,两组患者生活活动能力比较差异无统计学意义,干预后两组患者生活活动能力评分均显著较治疗前升高,差异有统计学意义(P0.05),研究组患者治疗有效率为97.69%显著高于对照77.31%(P0.05)。结论康复早期介入能够显著降低老年髋部骨折患者肺部感染发生率,提高髋关节功能和生活活动能力,提高治疗有效率。
[Abstract]:Objective to investigate the effect of early rehabilitation intervention on pulmonary infection of hip fracture in elderly patients. Methods from June 2012 to June 2016, 864 patients with hip fracture were randomly divided into two groups: the study group and the control group, 432 cases in each group. Both groups were given basic treatment, the control group received routine orthopedic rehabilitation training, the study group was treated with early rehabilitation intervention. The complications were observed 2 weeks after operation, the sputum, urine and blood of the patients with pulmonary infection were cultured and identified, and the hip function and mobility were evaluated at 2 weeks, 1 month, 3 months and 6 months after operation. The degree of bone healing was determined in both groups. Results there were 12 cases of pulmonary infection in the study group, the infection rate was 2.78%, which was significantly lower than that in the control group (8.56%, P0.05). The scores of hip function in the study group were (54.23 卤6.54), (67.33 卤5.41), (81.04 卤5.65), (92.21 卤5.48) after 2 weeks, 1 month, 3 months and 6 months, respectively. It was significantly higher than that in the control group (40.84 卤5.44), (45.83 卤4.95), (60.40 卤6.40), (73.83 卤6.95), the difference was statistically significant (P0.05), there were 104 pathogenic bacteria detected, of which 59 were gram-negative bacteria, 39 Gram-positive bacteria were 37.50, and 6 fungi were 5.77B. There was no significant difference in the activity of life between the two groups. After intervention, the scores of activity of life in the two groups were significantly higher than those before treatment (P0.05). The effective rate of treatment was 97.69% in the study group and 77.31% in the control group (P0.05). Conclusion early intervention of rehabilitation can significantly reduce the incidence of pulmonary infection in elderly patients with hip fracture, improve hip function and living ability, and improve the effective rate of treatment.
【作者单位】： 杭州市中医院骨伤科;
【分类号】：R683
，
本文编号：2226590
[Abstract]:Objective to investigate the effect of early rehabilitation intervention on pulmonary infection of hip fracture in elderly patients. Methods from June 2012 to June 2016, 864 patients with hip fracture were randomly divided into two groups: the study group and the control group, 432 cases in each group. Both groups were given basic treatment, the control group received routine orthopedic rehabilitation training, the study group was treated with early rehabilitation intervention. The complications were observed 2 weeks after operation, the sputum, urine and blood of the patients with pulmonary infection were cultured and identified, and the hip function and mobility were evaluated at 2 weeks, 1 month, 3 months and 6 months after operation. The degree of bone healing was determined in both groups. Results there were 12 cases of pulmonary infection in the study group, the infection rate was 2.78%, which was significantly lower than that in the control group (8.56%, P0.05). The scores of hip function in the study group were (54.23 卤6.54), (67.33 卤5.41), (81.04 卤5.65), (92.21 卤5.48) after 2 weeks, 1 month, 3 months and 6 months, respectively. It was significantly higher than that in the control group (40.84 卤5.44), (45.83 卤4.95), (60.40 卤6.40), (73.83 卤6.95), the difference was statistically significant (P0.05), there were 104 pathogenic bacteria detected, of which 59 were gram-negative bacteria, 39 Gram-positive bacteria were 37.50, and 6 fungi were 5.77B. There was no significant difference in the activity of life between the two groups. After intervention, the scores of activity of life in the two groups were significantly higher than those before treatment (P0.05). The effective rate of treatment was 97.69% in the study group and 77.31% in the control group (P0.05). Conclusion early intervention of rehabilitation can significantly reduce the incidence of pulmonary infection in elderly patients with hip fracture, improve hip function and living ability, and improve the effective rate of treatment.
【作者单位】： 杭州市中医院骨伤科;
【分类号】：R683
，
本文编号：2226590
本文链接：https://www.wllwen.com/yixuelunwen/waikelunwen/2226590.html
最近更新
教材专著
